Giant renal angiomyolipoma

Case contributed by Igor Strahovnik
Diagnosis certain

Presentation

Right-sided abdominal pain and palpable mass. She had mildly elevated CRP, otherwise lab results were normal. Patient had no other symptoms.

Patient Data

Age: 25 years
Gender: Female
ct
This study is a stack
Axial
non-contrast
This study is a stack
Coronal
non-contrast
This study is a stack
Sagittal
non-contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

Mixed fat-solid vascularized giant mass in the renal space with central foci measuring around 40 HU - probable hematoma. Note additional small fat foci in both kidneys and one small focus in the liver.

Contributor: Dr Mitja Četina

Case Discussion

Mass and right kidney were removed.

Histology report (summary)

Angiomyolipoma growing out of the renal cortex, tumor cells were mildly pleomorphic, without mitosis or necrosis. MDM-2 negative. Additional small foci of angiomyolipomas in the kidney.

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